NREMT National Registered Paramedic Practice Test

NREMT-NRP Exam Format | Course Contents | Course Outline | Exam Syllabus | Exam Objectives

Test Detail:
The NREMT-NRP (National Registered Paramedic) certification exam is designed to assess the knowledge and skills of paramedics in providing advanced medical care in emergency situations. This exam evaluates the candidate's ability to apply critical thinking and clinical judgment in various medical scenarios. The following description provides an overview of the NREMT-NRP certification.

Number of Questions and Time:
The NREMT-NRP exam typically consists of approximately 135-150 questions. The exact number of questions may vary, as the NREMT regularly updates the exam content. Candidates are given 2 hours and 30 minutes (150 minutes) to complete the exam.

Course Outline:
To prepare for the NREMT-NRP exam, candidates can undergo comprehensive training programs that cover a wide range of topics related to advanced paramedic care. These courses provide in-depth knowledge and practical skills required to become proficient in providing advanced medical interventions. The course outline may include the following topics:

1. Advanced Patient Assessment:
- Comprehensive patient assessment techniques
- Advanced airway management and ventilation
- Hemodynamic monitoring and assessment
- Neurological assessment and management

2. Advanced Cardiac Care:
- Advanced cardiac rhythm interpretation
- Defibrillation and cardioversion
- Pharmacological interventions for cardiac emergencies
- Cardiac pacing and external cardiac support

3. Trauma Management:
- Advanced trauma assessment and triage
- Management of traumatic injuries (head, chest, abdominal, musculoskeletal)
- Advanced airway management in trauma patients
- Hemorrhage control and fluid resuscitation

4. Medical Emergencies:
- Management of medical emergencies (respiratory, cardiovascular, neurological, etc.)
- Pharmacological interventions for medical emergencies
- Endocrine and metabolic emergencies
- Environmental emergencies (heatstroke, hypothermia, etc.)

5. Special Populations:
- Pediatrics and neonatal care
- Geriatric care
- Obstetric and gynecological emergencies
- Behavioral and psychiatric emergencies

Exam Objectives:
The NREMT-NRP exam aims to assess the candidate's knowledge and skills in providing advanced paramedic care. The exam objectives include the following:

1. Demonstrate proficiency in advanced patient assessment techniques and critical thinking skills.
2. Apply advanced airway management and ventilation techniques.
3. Perform advanced cardiac care, including rhythm interpretation, defibrillation, and pharmacological interventions.
4. Manage traumatic injuries, including assessment, stabilization, and appropriate interventions.
5. Manage a wide range of medical emergencies using evidence-based practices and pharmacological interventions.
6. Provide specialized care for pediatric, neonatal, geriatric, obstetric, and behavioral health patients.

Exam Syllabus:
The NREMT-NRP exam syllabus covers a comprehensive range of topics related to advanced paramedic care. The syllabus includes the following areas of study:

- Advanced patient assessment and management
- Advanced airway management and ventilation
- Cardiac care and dysrhythmia interpretation
- Trauma assessment and management
- Medical emergencies and pharmacology
- Special populations and specialized care

The NREMT-NRP exam format typically includes multiple-choice questions, scenario-based questions, and skill-based stations. Candidates are required to apply their knowledge and skills to real-world situations and demonstrate competency in providing advanced paramedic care.

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NREMT-NRP
NREMT National Registered Paramedic
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Question: 191
When is a detailed head-to-toe assessment performed?
A. After the primary survey
B. After assessing vitals
C. After a sample history
D. After a wet check
Answer: B
The detailed head-to-toe check should be performed after vitals have been
assessed.
Question: 192
The radio code that refers to position or location is coded as what?
A. 10/4
B. 10/20
C. 10/30
D. Echo Bravo
Answer: B
To refer to position or location on a radio, 10/20 is used.
Question: 193
ETA is an acronym that stands for:
A. Emergency trust agreement
B. Enabled translation account
C. Estimated time of arrival
D. Enhanced tertiary airway
Answer: C
Estimated time of arrival is commonly shortened to ETA.
Question: 194
The acronym PERL is used to assess what?
A. Pupil dilation
B. Level of consciousness
C. Event history
D. Breathing
Answer: A
PERL (pupils equal and reactive to light) assesses the equality and the size of
pupil dilation.
Question: 195
Which of the following assessments is not required when assessing the neck?
A. Tracheal deviation
B. Jugular vein distension
C. Deformities
D. Paradoxical motion
Answer: D
Paradoxical motion occurs in the chest area. It refers to the unequal rise and fall of
the chest.
Question: 196
What is most essential requirement when assessing a patients breathing with a
stethoscope?
A. To listen for a heartbeat
B. To assess bilaterally
C. Check one side of the apex during a pneumothorax
D. Listen for wheezing
Answer: B
Checking the breath sounds bilaterally will tell you whether both lungs are
equally effective.
Question: 197
The acronym DCAP-BTLS is usually used in which of the following
assessments?
A. The scene survey
B. The wet check
C. The detailed head-to-toe check
D. The SAMPLE history
Answer: C
DCAP-BTLP (deformities, contusion, abrasions, punctures, burns, lacerations,
and swelling) is used during a head-to-toe check.
Question: 198
What gland is assessed by a combination of bidigital palpation and circular
compression?
A. Pituitary gland
B. Hormone gland
C. Thyroid gland
D. Parotid gland
Answer: C
The thyroid gland is assessed by a combination of bidigital palpation and circular
compression. The assessment is for asymmetry and enlargement of the thyroid
gland. The assessment is done by having the client sit upright and by asking him
or her to swallow.
Question: 199
Which is not a pathogen route of transmission?
A. Droplet
B. Vector-borne
C. Indirect
D. Vapor
E. Fecal-oral
Answer: D
Vapor is not a pathogen route of transmission. The routes of transmission are
droplet, vector-borne, indirect, direct, airborne, and fecal-oral. For these routes to
function there must be a source of infectious microorganisms and a susceptible
host.
Question: 200
When questioning a patient, it is important to gather as much information as
possible. What is not a question type?
A. Open-ended
B. Direct
C. Probing
D. Indirect
Answer: D
Indirect is not a question type. When questioning a patient, it is important to
gather as much information as possible. Question types include open-ended,
direct, probing, leading, laundry list, and facilitating. When communicating, avoid
jargon that patients may not understand and confirm at the appointments end that
the patient understands what has been discussed.
/( 48(67,216

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